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Read our latest news from the ASG ophthalmology news. Feel free to ask questions in comments for any news you find interesting.
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21/Jan/2023

An Introduction to Children’s Eye Health!

Did you know that the surface of a child’s eyes is three times smoother than an adult’s? Did you also know that there are many differences between the development of kids and adults when it comes to eye health? In this post, learn what care parents should put into preserving their children’s eyes.

Some common vision problems seen in kids are refractive errors, such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. Other eye problems that are seen in children include amblyopia (lazy eye), strabismus (crossed eyes), and ptosis (drooping eyelid).

As parents, it is important to be aware of these different eye conditions and take steps to prevent them or catch them early on. The following advice will help you maintain your child’s eyes healthy:

  1. Schedule regular eye exams with an optometrist or ophthalmologist. Children should have their first eye exam at 6 months of age, followed by another at 3 years old, and then every year after that. If your child has any risk factors for vision problems (for example, if they have a family history of eye disease or if they were born prematurely), then they may need to be seen more frequently.
  2. Make sure your child is wearing properly fitting glasses or contact lenses if needed. It is important that kids wear glasses.

Why is a Child’s Eye Health Important?

A child’s eye health is important for several reasons. First, good vision is essential for learning. Children who can see well are more likely to do well in school and less likely to experience problems later in life. Second, early detection and treatment of eye problems can prevent serious vision loss. Third, children’s eyes are still developing, and they are more susceptible to damage from certain diseases or injuries. Finally, healthy eyesight promotes overall physical and mental health and well-being.

What do Parents Need to Know About Children’s Eye Health?

As a parent, it’s important to be aware of your child’s eye health and what can impact it. Here are some essential considerations:

  • Children’s eyes are still developing and are more susceptible to damage than adult eyes.
  • It’s important to have regular eye exams for children so that any vision problems can be detected and treated early.
  • Some common childhood eye conditions include amblyopia (lazy eye) and strabismus (crossed eyes). These can usually be treated effectively if caught early.
  • Protecting your child’s eyes from the sun is important to help prevent damage from ultraviolet (UV) rays. Sunglasses or hats with brimmed sides can help offer protection.

By being aware of these things, you can help ensure that your child enjoys good vision throughout their childhood and beyond.

Important Vitamins for Eye Health

Important Vitamin for Eye Health

There are a few important vitamins for eye health, and children should make sure they’re getting enough of them in their diet. Vitamin A promotes healthy eyes and is crucial for night vision. Vitamin C is an antioxidant that can help to protect the eyes from damage caused by free radicals. Vitamin E is also an antioxidant that can help to protect the eyes from damage and has been shown to improve vision in people with macular degeneration.

Foods Rich in Vitamin A

A vital component for healthy eyes and eyesight is vitamin A. It can be found in many foods, such as carrots, sweet potatoes, spinach, kale, and squash. Eating a diet rich in Vitamin A can help to keep your eyes healthy and prevent vision problems.

Foods Rich in Vitamin C

Most people know that vitamin C is good for you, but did you know that it’s also great for your eyes? Vitamin C is a nutrient found in many foods, and it’s important for overall health. But it’s also necessary for healthy eyes, and plenty of vitamin C can help reduce the risk of certain eye problems.

So what are the finest vitamin C sources? Citrus fruits like oranges and lemons are great choices, as well as tomatoes and red peppers. You can also get vitamin C from leafy green vegetables, such as spinach and kale. If you’re looking for something different, kiwi fruit is also a great option.

No matter which foods you choose, make sure to eat plenty of them! Vitamin C is water-soluble, so your body doesn’t store it the way it does with other nutrients. That means you need to get enough every day to keep your eyes healthy.

What are the best sources of vitamin C for your eyes?

Citrus fruits like oranges and lemons are great choices, as well as tomatoes and red peppers. You can also get vitamin C from leafy green vegetables, such as spinach and kale. If you’re looking for something different, kiwi fruit is also a great option.

Biggest Dangers to Children’s Eye Health

Biggest Dangerous to Children Eye Health

There are many dangers to children’s eye health. The most common dangers include:

-Injuries: Children are more likely than adults to get injured in the eye area. They may get hit in the eye with a ball or other object, or they may fall and scratch their eye.

– infections: viruses, bacteria, and fungi can all cause infections of the eye. These can lead to serious problems such as vision loss.

– Allergies: Allergies can cause irritation, swelling, and redness of the eyes. If not treated properly, they can also lead to serious problems such as vision loss or blindness.

– Eye cancer: Children are at a higher risk for developing certain types of eye cancer, such as retinoblastoma. Early detection is important for treatment and survival.

– Congenital defects: Some children are born with defects in the eye or surrounding structures. These defects can cause vision problems.

Conclusion

Children’s eye health is an important topic that parents should be educated on. As our kids grow and develop, it’s crucial that we take care of their vision so they can have the best possible chance at a healthy life.


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21/Jan/2023

Know 5 Important Dermatologist Tips for Dry Eyelids(Blepharitis)

You may be suffering from dry, itchy, and red eyes, or visible flakes of skin on the lower eyelid – did you know there are a number of dermatologist tips for eye health that can be implemented to help eliminate symptoms? These include cleaning your hands regularly, wearing sunglasses outdoors when possible to prevent damage to the surface of your skin (UV), using emollients, and avoiding activities that might irritate your skin like rubbing. Discover more in this article, including what other factors contribute to the appearance of dry eyelids like blepharitis.

What is Blepharitis?

Common and persistent eyelid irritation is known as blepharitis. It can be caused by bacteria, allergies, or other irritants. Symptoms include red, itchy, and burning eyes. Treatment typically involves cleaning the eyelids and using artificial tears to relieve symptoms.

Symptoms of Blepharitis

Symptoms of Blepharitis

 

The symptoms of blepharitis can vary depending on the type of blepharitis you have. The most common symptoms include:

  • Itchiness and redness around the eyelids.
  • Burning or stinging eyes.
  • A sensation that something is stuck in your eye.
  • Increased tears or drainage from your eyes.
  • Crusty debris on your eyelashes.
  • Swollen, red, and inflamed eyelids.

If you have any of these symptoms, it’s important to see an experienced dermatologist for proper diagnosis and treatment.

Common Causes of Blepharitis

Blepharitis Common Causes

 

Common and persistent eyelid irritation is known as blepharitis. It occurs when the oil glands in the eyelids become clogged and bacteria begin to grow. Blepharitis can occur at any age, but it is most common in adults.

There are two types of blepharitis: anterior blepharitis, which affects the front part of the eyelid, and posterior blepharitis, which affects the back part of the eyelid.

Common Causes of Blepharitis Include:

Dirty hands: Bacteria can be transferred to the eyes from contaminated hands.

Makeup: Using old or expired makeup can also lead to bacterial growth on the eyelids.

Eye irritation: Any type of eye irritation, such as from contact lenses or pollution, can worsen blepharitis.

Primary Treatments for Blepharitis

There are many different treatments for blepharitis, but primary treatments typically fall into one of two categories: medical or surgical.

Medical treatments for blepharitis include topical antibiotics, oral antibiotics, and/or steroids. These medications can help to reduce inflammation and kill the bacteria that may be causing the infection.

Surgical treatments for blepharitis include lid scrubs, cautery, and/or thermal tearing. Lid scrubs involve using a sterile brush or cotton swab to gently remove any crusting from the eyelids. Cautery is a process of using heat to destroy the tissue that is causing the infection. Thermal tearing uses heat to break up the oils that are clogging the glands in the eyelids.

Secondary Treatments for Blepharitis

If you have dry eyes, chances are you also have a condition called blepharitis. Blepharitis is an inflammation of the eyelids that can cause your eyes to feel dry and irritated. While there is no cure for blepharitis, there are treatments that can help relieve your symptoms and keep the condition under control.

One of the most important things you can do to treat blepharitis is to keep your eyelids clean and free of debris. You should gently wash your eyelids with mild soap and warm water at least once a day. You may also need to use a special eyelid cleanser or scrub to remove the build-up on your lashes. Pay close attention to the instructions on the product label.

If over-the-counter treatments don’t seem to be helping, talk to your eye doctor about prescription options. There are several topical medications that can be used to treat blepharitis, including antibiotics, steroids, and anti-inflammatory drugs. In some cases, oral medications may also be necessary.

Prevention Steps for Dry Eyelids (Blepharitis)

Dry eyelids, also known as blepharitis, are a common and irritating condition that can be difficult to get rid of. The good news is, there are several things you can do to prevent dry eyelids and keep them from coming back.

Here are Some Prevention Steps for Dry Eyelids:

  1. Keep your eyes clean – Be sure to clean your eyelids regularly with mild soap and warm water. Gently massage the lids to loosen any crusting or debris. You can also use a wet cotton ball or soft cloth to remove any buildup around the lash line.
  2. Avoid using harsh chemicals – When cleaning your eyelids, avoid using any harsh chemicals or detergents. These can irritate the already sensitive skin of the eyelid and make the condition worse.
  3. Use a humidifier – Dry air can worsen blepharitis, so using a humidifier in your home or office can help keep your eyelids moist and healthy.
  4. Limit contact lens wear – If you wear contact lenses, try to limit their use as much as possible. This will give your eyes a chance to rest and heal from any irritation caused by the lenses.
  5. Visit your doctor – If you have persistent dry eyes or blepharitis that doesn’t seem to be improving with home care, be sure to visit your doctor or an eye specialist for further treatment options.

Conclusion

If you have dry, itchy, or inflamed eyelids, then you may be suffering from blepharitis. This condition is relatively common and can usually be easily treated with the help of a dermatologist. Here are 5 important tips to keep in mind if you’re dealing with blepharitis:

  1. Keep your eyelids clean by gently washing them with a mild cleanser each day.
  2. Apply a warm compress to your eyelids for a few minutes at least once or twice per day.
  3. Use an eye ointment or cream to moisturize your eyelids and prevent further irritation.
  4. Avoid using any makeup or skincare products that contain harsh chemicals or fragrances.

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21/Jan/2023

Know 5 Important Conjunctivitis Prevention Tips

We’ve been conditioned to think that only those of us working with kids are at risk for pink eye, but schools and workplaces alike have been affected by the outbreaks in recent years. The following article will explain five key prevention tactics, from focusing on hand washing for eye care. Have all your staff use these useful tips to stay healthy during the upcoming cold and flu season!

What is Conjunctivitis?

Conjunctivitis, also known as pink eye, is an inflammation or infection of the transparent membrane that lines the inner surface of the eyelid and covers the white part of the eye. It is a common condition that can affect people of all ages. Although conjunctivitis is usually a minor disorder, it can sometimes lead to serious problems if left untreated.

What is Conjunctivitis?

 

The symptoms of conjunctivitis include redness and swelling of the affected eye (or eyes), itchiness, discharge from the eye, and increased tearing. Viral and bacterial conjunctivitis are both highly contagious and can be spread through direct contact with infected secretions from the eye or through contaminated objects such as towels or makeup brushes. Allergic conjunctivitis is not contagious but can be triggered by allergens in the environment.

If you suspect that you have conjunctivitis, it is important to see a doctor so that you can be properly diagnosed and treated.

Here are Some Important Tips for Preventing Conjunctivitis:

  1. Transmission:

The main way pink eye is spread is through contact with contaminated objects or liquids. This means it’s important to avoid touching your eyes if you have any cuts or open wounds on your hands. You should also avoid sharing pillowcases, towels, makeup, or contact lenses with others. If you must share these items, be sure to wash them thoroughly first.

  1. Treatment:

If you think you may have pink eye, it’s important to see the best eye doctor right away so you can get started on treatment. Pink eye usually goes away on its own within a week or so, but severe cases may require antibiotics.

  1. Prevention:

Maintaining proper hygiene practices is the most effective approach to avoiding pink eye. This means washing your hands frequently, especially before touching your eyes or handling contact lenses. You should also clean Your environment regularly, including door handles, countertops, and other surfaces that might be contaminated with bacteria or viruses

Prevention

 

Conjunctivitis is a highly contagious eye infection that can be caused by bacteria, viruses, or allergens. Symptoms include red, itchy, watery eyes, and discharge from the eyes. While conjunctivitis is usually not serious, it can cause significant discomfort and may lead to secondary bacterial infections if left untreated.

Prevention of Conjunctivitis

There are several things you can do to prevent conjunctivitis:

  • Wash your hands regularly and often, especially before touching your eyes.
  • Avoid sharing towels, pillowcases, or other items that may come into contact with your eyes.
  • Discard any makeup or contact lenses that may have been contaminated.
  • Avoid swimming in pools or other bodies of water where the infection can spread.
  1. Wash hands regularly

It is important to wash your hands regularly to prevent the spread of conjunctivitis. You should wash your hands:

  • Before and after you touch your eyes
  • After you touch your face
  • After you blow your nose
  • After you sneeze or cough
  1. Keep hands away from eyes.
  • It is very important to keep your hands away from your eyes if you want to prevent conjunctivitis. If you touch your eyes with your hands, you can transfer bacteria and other germs from your hands to your eyes. This can lead to an infection of the conjunctiva, which is the clear membrane that covers the white part of the eye and the inner surfaces of the eyelids.
  1. Avoid touching the facial area around your eyes
  • Touching your face around your eyes can easily transfer bacteria and other contaminants from your hands to your eyes. This can lead to conjunctivitis, which is an inflammation of the clear tissue that covers the white part of the eye. To avoid this, make sure to wash your hands frequently and avoid touching your eyes with Your fingers.
  1. Stay home or use a protective barrier if you contact an infectious person with conjunctivitis
  • If you have come in contact with someone who has conjunctivitis, it is important to take precautions to prevent the spread of the eye infection. The best way to do this is to stay home and avoid contact with others. If you must go out, be sure to use a protective barrier, such as a mask or gloves.
  1. Use hand sanitizers and provide good hygiene conditions in your work environment
  • One of the best ways to prevent conjunctivitis, or pink eye, is to practice good hygiene. This means washing your hands often, especially before you touch your eyes. You should also avoid sharing towels, pillows, or other items that come into contact with your face.

Finally, it’s important to create a clean and healthy work environment. This means wiping down surfaces often, especially if they’re shared by others. You should also make sure there is good ventilation in your workspace.

Conclusion

Conjunctivitis, also known as pink eye, is a highly contagious viral or bacterial infection of the conjunctiva, the thin, transparent membrane that lines the inner surface of your eyelid and covers the white part of your eyeball. Because it can be so easily spread through close contact with others, it’s important to know how to prevent its spread.

Here are 5 tips to help prevent the spread of conjunctivitis:

  1. Avoid touching your eyes with your hands.
  2. Wash your hands often with soap and water, especially after touching your eyes or someone else’s eyes.
  3. Do not share towels or other items that come into contact with your eyes.
  4. Disinfect all contaminated surfaces, such as doorknobs, countertops, and phones.
  5. If you wear contact lenses, clean them thoroughly and disinfect them regularly according to the manufacturer’s instructions.

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21/Jan/2023

Know 5 Important Eye Care Tips During Pregnancy!

Eye problems in pregnancy happen due to the body’s changing hormone levels. The last trimester of pregnancy is when a pregnant woman’s vision changes most often, as estrogen levels decrease and progesterone increases. Learning about these 20 common eye care tips during pregnancy will help you stay informed, healthy and happy!

  1. Drink plenty of water: Staying hydrated is important for your overall health, but it’s also crucial for healthy eyes. When you’re dehydrated, your eyes can become dry and irritated. So be sure to hydrate yourself well during the day.
  2. Eat a healthy diet: Eating a healthy diet is important for your overall health, but it’s also essential for healthy eyes. Foods rich in omega-3 fatty acids, like salmon, are especially good for your eyes. Omega-3 fatty acids help reduce inflammation and protect against dry eye syndrome.
  3. Be careful with contact lenses: Contact lenses are generally safe to use during pregnancy, but you should be extra careful with them. Be sure to clean your lenses regularly and never wear them longer than recommended by your eye doctor.
  4. Avoid smoking: Smoking is harmful to your overall health, but it’s also damaging to your eyesight. Smoking increases your risk of developing cataracts and other serious eye problems. If

5 Important Eye care tips

Pregnancy is a time when your body goes through many changes and your eyes are no exception. Here are some important eye care tips to keep in mind during pregnancy:

  1. Get your eyes checked: Pregnancy can cause changes in your vision, so it’s important to get your eyes checked by an optometrist or ophthalmologist during pregnancy.
  2. Watch for changes in your vision: If you notice any changes in your vision during pregnancy, be sure to talk to your eye doctor right away.
  3. Wear sunglasses: Pregnancy can make you more sensitive to light, so be sure to wear sunglasses when you’re outdoors.
  4. Don’t smoke: Smoking can increase your risk of developing serious eye problems, including age-related macular degeneration and cataracts. So if you’re pregnant, now is the time to quit smoking for good!
  5. Eat a healthy diet: Eating a healthy diet is good for your overall health, including your eyesight. Be sure to eat plenty of fruits and vegetables as well as foods rich in omega-3 fatty acids, such as salmon and other cold-water fish.

Vision changes in pregnancy

Pregnant women may experience changes in their vision. Some women may have blurred vision, while others may see flashes of light. These changes are usually harmless and will resolve after delivery. However, if you experience any sudden or severe changes in your vision, you should notify your doctor or midwife right away.

Eye Glasses

Importance of Eye Glasses

 

For many women, becoming pregnant may be a challenging time. One of the issues that can arise during pregnancy is vision problems. Many women report experiencing blurred vision during pregnancy, and some even develop temporary blindness. If you are pregnant, it is important to be aware of these potential problems and take steps to protect your eyesight.

If you are pregnant and experience any vision problems, it is important to see an eye doctor right away. An eye doctor can determine if your vision problems are related to pregnancy and make recommendations for treatments or corrective measures.

Contact Lenses

When you are pregnant, you should take extra care of your eyes and vision. At this time, some women may experience changes in their vision, such as blurred vision and dry eyes. These changes can be due to pregnancy hormones and increased blood volume. Here are some tips to help keep your eyes healthy during pregnancy:

  1. Wear contact lenses? Make sure to clean them regularly and replace them as needed per the manufacturer’s instructions.
  2. Apply artificial tears or drops as needed to relieve dryness.
  3. Visit your eye care provider for regular comprehensive dilated eye examinations. If you have diabetes or develop hypertension during pregnancy, more frequent monitoring may be warranted.
  4. Be aware of symptoms that could indicate a problem with your vision, such as the sudden onset of floaters or flashing lights, severe headache not relieved by over-the-counter medication, or pain in the eye that does not go away easily. If you experience any of these symptoms, contact your eye care provider immediately for evaluation.

Eye Drops

As your pregnancy progresses, your blood volume increases and your blood vessels become more pronounced, especially in your legs and feet. Also, the hormones produced during pregnancy cause changes in the consistency of your tears, making them more watery and less oily. These changes can lead to dry eyes and other irritating symptoms.

To help relieve dry eye symptoms, use artificial tears or lubricating eye drops as often as needed. You can also try using a humidifier in your home to keep the air moist. If you wear contact lenses, you may need to switch to glasses during pregnancy. Consult with your doctor or ophthalmologist about the best way to care for your eyes during pregnancy.

Conclusion

Pregnancy brings a lot of changes to a woman’s body, and her eyes are no exception. It’s important for pregnant women to take care of their vision and eye health, especially during the third trimester when the risk of developing pregnancy-related eye problems is at its highest. Here are five tips for pregnant women to keep their eyes healthy:

  1. Have your eyes checked regularly by an optometrist or ophthalmologist?
  2. Be sure to tell your eye care professional that you are pregnant.
  3. Wear sunglasses or protective eyewear when outdoors to shield your eyes from UV rays.
  4. Take breaks often when working on the computer or reading to avoid eye strain.
  5. Keep your hands clean and away from your face to avoid infecting yourself with bacteria or viruses that can cause pink eye or other viral conjunctivitis infections.

06/Sep/2022

इंदौर : एएसजी आई हॉस्पिटल की इंदौर में स्थापना को 3 वर्ष पूरे हो गए हैं। इस उपलक्ष्य में मंगलवार को एमजी रोड पर टीआई मॉल के समीप स्थित हॉस्पिटल परिसर में स्थापना दिवस कार्यक्रम आयोजित किया गया। ख्यात प्लास्टिक सर्जन डॉ. निशांत खरे कार्यक्रम के मुख्य अतिथि थे। डॉ. वीरेंद्र सिंह सोलंकी विशेष अतिथि के बतौर मौजूद रहे।

बच्चों और पालकों को जागरूक करने की जरूरत।

डॉ. खरे ने इस मौके पर अपने विचार रखते हुए एएसजी हॉस्पिटल को स्थापना दिवस की शुभकामनाएं दी। उन्होंने कहा कि बच्चे आजकल मोबाइल, कंप्यूटर, लैपटॉप और टीवी पर अधिक समय बिताते हैं जिससे बचपन में ही उनकी आंखें कमजोर होने लगी हैं। ऐसे में बच्चों व उनके परिजनों को आंखों की सुरक्षा को लेकर जागरूक करने की जरूरत है। स्कूलों में भी इस बात की जानकारी बच्चों को दी जानी चाहिए कि इलेक्ट्रॉनिक गजट का इस्तेमाल सीमित रूप से करें।

देश – विदेश में है एएसजी हॉस्पिटल्स की चेन।

इस दौरान पत्रकारों से चर्चा करते हुए एएसजी हॉस्पिटल, इंदौर के मेडिकल डायरेक्टर डॉ. विनीत मुथा ने बताया कि देश – विदेश में 39 शहरों में 46 अस्पतालों के जरिए एएसजी समूह अत्याधुनिक नेत्र चिकित्सा सेवाएं प्रदान कर रहा है। इंदौर में बीते 3 वर्षों में एएसजी हॉस्पिटल ने 40 हजार नेत्र रोगियों का इलाज किया है। मोतियाबिंद के साथ ही रेटिना, ग्लूकोमा, कार्निया ट्रांसप्लांट और आंखों से जुड़ी अन्य बीमारियों का सफलतापूर्वक इलाज यहां किया जाता है। कोरोना काल में ब्लैक फंगस का कारगर उपचार भी एएसजी आई हॉस्पिटल में किया गया।

सामाजिक दायित्वों का किया निर्वहन।

डॉ. मुथा ने बताया कि एएसजी हॉस्पिटल ने अपने सामाजिक दायित्व का निर्वहन भी बखूबी किया है। बीते तीन वर्षों में सैकड़ों बुजुर्गों के मोतियाबिंद के ऑपरेशन नि:शुल्क किए गए हैं। प्रत्येक रविवार को बुजुर्ग व बच्चे और बुधवार को महिलाओं की आंखों की मुफ्त जांच की जाती है। इसी के साथ 400 से अधिक स्कूल बस के चालकों का नि:शुल्क नेत्र परीक्षण भी हॉस्पिटल द्वारा किया गया है।

डॉ. मुथा ने बताया कि उनके यहां सभी सरकारी बीमा योजनाओं के तहत इलाज किया जाता है। आयुष्यमान भारत योजना में आंखों के उपचार के लिए भी उन्होंने आवेदन कर रखा है।



                                             
Eye Retinal Detachment is an emergency that occurs when the retina, a light-sensitive membrane situated at the back of the eye, separates from its normal position.
The lens of the eye focuses an image on the retina when light passes through it. The retina is a thin layer of tissue that receives images and sends them as electric signals through the optic nerve to the brain.
So, when the retina separates from its normal position it renders deprived of oxygen and nourishment. This may lead to Retinal Detachment surgery for treatment. As the retinal cells are cut off from the blood vessels that provide oxygen, the risk of partial or permanent vision loss increases. If it is not treated immediately, it may lead to severe consequences.

Symptoms of Retinal Detachment

Though there is no significant pain associated with this situation, various symptoms occur before or in the advanced stages:

 

  • Blurred vision
  • The sudden appearance of floaters or tiny specks or strings drifting through the field of vision
  • Partial vision loss that occurs as a curtain has pulled across your field of vision, with a shadowing effect
  • Photopsia: Sudden flashes of light in the eyes
  • Gradual reduction of side or peripheral vision
Symptoms occur rapidly and if not addressed or treated immediately, may lead to eye surgery for retinal detachment. The risk of vision loss also increases with time if the symptoms are overlooked.

Types or Causes of Retinal Detachment

Whether this condition is caused by a tear, scar tissue, or disease, the types differ with the state of the retina.
Majorly, there are three types of Retinal Detachment:
Rhegmatogenous: It is the most common type of retinal detachment caused by a hole or a tear in the retina, making the fluid slip through the opening and collect underneath the retina, consequently pulling the retina away from the underlying tissues. The regions where the retina detaches lose their supply of blood and cease to work, causing loss of vision.
Aging is the most common cause of rhegmatogenous detachment. Vitreous, a gel-like substance that fills the inside of the eye may change in consistency or render more liquid with age. Usually, this gel-like substance separates from the surface of the retina without any complications and this condition is termed posterior vitreous detachment (PVD). The common complication of this separation is a tear.
Vitreous may tug on the retina with sufficient force to create a retinal tear when it separates or peels off the retina. If immediate measures are not taken, the liquid vitreous can pass through the tear and settle behind the space of the retina, causing detachment.
Tractional: This type of retinal detachment is typically observed in people who have poorly controlled diabetes or people suffering from diabetes mellitus (which mainly affects the retinal vascular system).
In tractional retinal detachment, the scar tissue grows or contracts on the retina’s surface, causing the retina to pull away from the back of the eye.
The retinal vascular damage leads to scar tissue accumulation resulting in detachment of the retina.
Exudative: This type of retinal detachment is not caused by any tears or holes in the retina. In this, fluid accumulates beneath the retina. The main causes are:
  • Age-related macular degeneration
  • An inflammatory disorder that leads to the accumulation of fluid behind the retina
  • Injury or wound to the eye
  • Tumors
  • Cancer behind the retina

Are you at risk of retinal detachment?

It is usual for anyone to experience retinal detachment but a few factors can highly increase being at risk:
  • Anybody with a family history of retinal detachment
  • A severe injury or wound in the past
  • If someone has been through eye surgeries such as cataract surgery
  • Diagnosed with eye conditions or diseases
  • Aging (greater risk if the person is above the age of 50)
  • Extreme myopia (Not able to see objects situated farther from the eye)
  • Diagnosed previously with retinal detachment
Some eye-related conditions or diseases also put you at a higher risk:
  • Diabetic Retinopathy (a diabetic complication that affects the blood vessels in the retina)
  • Lattice degeneration (the thinning of the retina)
  • Retinoschisis (the separation of the retina into two layers)
  • Posterior vitreous detachment (gel-like material in the center of the eye pulls or separates away from the retina)

How is Retinal Detachment diagnosed?

This condition is diagnosed through an eye exam. The eye specialist will use dilated eye exam to check the retina. Initially, eye drops are put in the eyes. These drops dilate the pupils or widen them. The doctor will be able to get a close look after a few minutes.

 

The eye specialist or ophthalmologist may prescribe other tests after the dilated eye exam. These tests are non-invasive and painless. They help the doctors provide more detail and information for the further course of treatment. Some of the tests which are mostly recommended are:
Optical coherence tomography (OCT): Firstly, the pupils are dilated for this imaging. Secondly, the patient is required to sit in front of the OCT machine, where your head is placed on a support to stay still. Lastly, the machine scans your eye but does not touch it.
Eye (ocular) ultrasound: This test does not use drops for dilating the eye but the doctor may use drops that numb the eyes to diminish the discomfort. The patient is made to sit on a chair and rest the head on a support, so it stays still. The doctor will gently place the instrument in front of the eye to scan it. Thereafter, the patient is asked to close their eyes. The eye specialist puts gel on the eyelids. To scan the eyes with the instrument, the patient needs to move the eyes keeping them closed.

What is the treatment for retinal detachment?

In minor cases of retinal detachment or tears of the retina, a simple procedure in the eye specialist’s office may suffice. But, in most cases, surgery becomes a necessity to repair the detached retina.
Laser surgery (photocoagulation) and freezing (cryopexy) are the most usual treatment options for the tears in the retina.
Photocoagulation
Photocoagulation is performed with a laser in case there exists a hole or tear in the retina but the retina is still attached. The laser burns around the tear site and results in scarring, which in consequence affixes the retina to the back of the eye.
Cryopexy
Cryopexy is a procedure that means freezing with intense cold. In this treatment, the doctor applies a freezing probe outside of the eye in the region over the retinal tear site and the eventual scarring will hold the retina in the normal place.
 

Eye Surgery for Retinal Detachment

In case, a larger part of the retina is detached, doctors usually recommend Retinal Detachment Surgery to move the retina back in place.
The three most typically prescribed surgeries are retinopexy, scleral buckling, and vitrectomy.

 

Pneumatic retinopexy

This procedure is performed to repair minor detachments. The doctor may perform it in the office itself. Firstly, the doctor uses medicine to numb the eyes to reduce or diminish discomfort. The steps thereafter are:
  • A small amount of fluid is extracted with the help of a tiny needle.
  • Formation of petite bubbles in the eye by injecting a small amount of air.
  • Lastly, the doctor waits for the retina to shift back into place and repairs any holes or tears with laser surgery or freezing.
The air bubble in the eye will cause no issues and disappear over time, but some precautions are suggested after the surgery to make sure the eye heals completely.
Few engagements like intense exercise, heavy lifting, or flying in an airplane should be avoided for minimal exertion of the body. The patient needs to keep following up with the doctor to make sure the eye is healing correctly.

Scleral bulking

Scleral bulking is performed in more severe cases of retinal detachment. The doctor will typically give the patients anesthesia for this surgery so they can sleep and do not feel any discomfort during the entire procedure. Next:
  • The doctor will place a small and flexible band around the sclera (white portion of the eye).
  • The band then pushes the sides of the eye and toward the retina so it will reattach.
  • The band remains permanently after the surgery.
  • Lastly, to repair any holes or tears, laser surgery or freezing might be provided.
The retinal detachment surgery is very simple and not painful, so the doctor may discharge the patient the same day. Although, due to the induced anesthesia, someone might have to drive the patient home.
Some precautions are necessary to make sure the eye heals properly:
  • Wearing an eye patch for at least a day after surgery.
  • Avoidance of heavy lifting or intense exercise.
  • Follow-ups with the eye specialist.

Vitrectomy

It is an eye surgery for retinal detachment used for larger tears and is performed usually in an outpatient surgery center. The patient will be under anesthesia to proceed through the following steps:
  • The doctor will make a small incision in the sclera of the eye.
  • A microscope is inserted to examine the interior of the eye.
  • Then, the doctor will remove abnormalities like scar tissue or vitreous.
  • A gas bubble will be injected simultaneously placing the retina back in its place.
  • Eventually, freezing or laser will be done to repair tears or holes.
The patient might feel some discomfort after the surgery and is suggested to avoid intense exercise.

Prevention from Retinal Detachment Surgery

There are no known ways to prevent retinal detachment condition or surgery but a person can take a few precautionary measures:
  • Getting eye dilation exams regularly
  • Wearing a protective eye shield while playing sports
  • Controlling levels of blood sugar
These conditions might worsen the normal functioning of the eye and may result in severe consequences. But, don’t worry if you have such conditions. At ASG Eye Hospitals, we take pride in providing the best solutions for eye care to people irrespective of their awareness, knowledge, and financial levels. The most optimal retinal detachment surgery at ASG encompasses state-of-the-art equipment and highly experienced doctors.

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Diabetic retinopathy, the leading cause of blindness worldwide, occurs as a change in blood vessels of the retina as a result of diabetes. The retinal damage and impairment of vision lead to Diabetic retinopathy treatment. It is a condition that is caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina). It is mainly a diabetic complication and affects in two stages:
  • The early stage of the disease in which blood vessels swell and leak is called nonproliferative retinopathy. The macular edema or the swelling of the retina may result in mild vision loss.
  • The advanced stage in which abnormal new blood vessels grow on the surface of the retina is termed proliferative retinopathy. This may result in severe vision loss as these blood vessels may break and bleed into the vitreous (the clear watery gel that fills the eye).
While there are not many known ways to prevent diabetic retinopathy, you can reduce the risk of having it develop or progress. Maintaining the blood sugar levels slows the onset of retinopathy and may prevent it from getting worse. It also decreases the need for Laser Retinopathy treatment or other procedures in the severe stages.

What are the causes of Diabetic Retinopathy?

The leading cause of Diabetic Retinopathy is high levels of sugar in the blood that result in blockage of the tiny blood vessels which nourish the retina. Consequently, the eye attempts to grow new blood vessels but these don’t work properly and easily leak. The new blood vessels behave abnormally and eventually cause Diabetic Retinopathy.

Symptoms of Diabetic Retinopathy

You may not have any symptoms in the early stages of diabetic retinopathy and the vision may not change until the disease gets worse. But as the disease progresses you may observe:

Diabetic Retinopathy Symptoms

  • Floaters, spots, or strings in the visual field which move in the direction you look
  • Blurry vision
  • Fluctuating vision
  • Poor color vision & contrast
  • Difficulty in seeing at night
  • Blind spots in the field of vision
  • A strange dark or empty spot in the center of the vision
  • A sudden or total loss of vision
A person who is suffering from diabetes is at a higher risk of developing this disease. The risk increases with age and with other factors like smoking, high blood pressure, and pregnancy.

Are There Any Complications if Diabetic Retinopathy is Left Untreated?

Without proper treatment, this disease can lead to various complications.
A condition called vitreous hemorrhage might occur when the blood vessels bleed into the main jelly that fills the eye (vitreous). As the blood in the vitreous blocks light from entering the eye, it can result in vision loss. Although in mild cases the symptoms include floaters in the visual field.
If there’s no damage to the retina, bleeding in the vitreous may resolve itself.
In some cases, a severe complication called detached retina might occur. It is caused when the scar tissue pulls the retina from the back of the eye. The person may experience floating spots in the field of vision, flashes of light, and severe vision loss. If not treated, it may lead to total vision loss.

How is Diabetic Retinopathy Diagnosed?

An ophthalmologist can easily detect the signs of this disease. It is recommended that people who suffer from diabetes must have an eye examination at least once a year to prevent themselves from Diabetic Retinopathy Surgery. The ways of diagnosis of diabetic retinopathy are multiple:

Diabetic Retinopathy Diagnosis

Dilated Eye Exam

For the dilated eye exam, an eye doctor puts drops into the person’s eyes. This helps to dilate the pupils and allows the doctor to see the inside of the eye.
They then take photographs of the eye’s interior and look for the presence of:
  • Cataracts
  • Retinal detachment
  • Changes in the eye pressure
  • Abnormalities in the blood vessels or the retina
  • Scar tissue
You may feel minor discomfort due to the eye drops and the bright lights of the photographs.

Visual Acuity Test

It is an eye chart test that measures central vision ability at different distances.

Fluorescein Angiography

This test is conducted initially by dilating the pupils and then by injecting a dye called fluorescein into the vein of the person’s arm.
Further, pictures are taken as the dye circulates the eyes. To determine which blood vessels are leaking fluid or are blocked or broken down the doctor examines the flow of the dye. The dye, fluorescein, may leak through the retina or stain the blood vessels if these vessels are behaving abnormally.
This helps the doctor to go on with the proper course of treatment.
People may notice that they have yellowish skin or dark orange urine due to the existence of dye in the body.

Tonometry

This test is conducted to check the pressure (intraocular pressure, or IOP) inside the eye.

Optical Coherence Tomography

This test allows the doctors to look for cysts or swelling of the retina. OCT is a non-invasive imaging scan that helps provide high-resolution cross-sectional images of the retina to reveal its thickness.
It also aids in checking the effectiveness of the treatment as doctors perform it before and after treatment.
Though it is similar to ultrasound testing, it uses light rather than sound to produce images. It also helps to provide information about the optic nerve.

Ophthalmoscopy

In this test, the ophthalmologist will look closely at your eye and examine it with the help of a special magnifying glass.

How is Diabetic Retinopathy Treated?

The treatment of this disease depends on several factors that include the severity of the condition and how it has responded to previous treatments.
In the early stages, the doctor will follow watchful waiting in which the person’s eye is monitored closely without intervening.

Diabetic Retinopathy Treatment

Maintaining blood sugar levels and controlling diabetes is very crucial and it can significantly slow down the development of this disease.
But in advanced stages, the person usually requires Diabetic Retinopathy treatment:
There are three ways to treat the disease:

Laser Treatment

Laser for Diabetic Retinopathy is used in a targeted manner to shrink blood vessels in the eye and seal the leaks from abnormal blood vessels. It is also known as scatter laser surgery and is generally used to treat proliferative retinopathy or macular edema.
The treatment may slow down or stop the leakage of blood and the build-up of fluid in the eye.
It is conducted by placing a medicine that numbs the eye and then aiming a strong beam of light (laser) into the eye using a special lens.
The person may feel uncomfortable due to the bright light and may experience blurry vision for the rest of the day. Small spots may also appear in the visual field for a few weeks after the laser treatment.  More than one session may be required for the patient.
This procedure involves certain risks, such as loss of peripheral vision, color vision, and night vision. The person should consult their doctor about the benefits and risks of this treatment.

Laser Treatment

Injections

Certain medicines can be injected into the eye to reduce swelling and minimize leakage from the blood vessels in the eyes.
To perform this treatment the doctor follows certain steps. The eye specialist will place medicine that numbs the eye, then he may clean the eye to help prevent infections and eventually inject the medicine into the eye. The medicine may slow down the growth of the abnormal vessels of the retina and may also treat macular edema.
Depending upon the severity of the condition people may need regular injections but with time they require injections less frequently.

Vitrectomy or Diabetic Retinopathy Surgery

A vitrectomy may benefit the person who has problems with the retina or vitreous. The procedure is conducted for the removal of some of the vitreous from the eye.
The eye surgeon may perform this procedure under general or monitored anesthesia.
It helps the surgeon to find and repair any sources of retinal bleeding by replacing cloudy vitreous or blood to improve vision.
The cloudy or bloody vitreous is replaced by a liquid or gas that is inserted by the surgeon into the eye. Subsequently, the body will absorb the liquid or gas with time and create new vitreous in its place.
The person may need to wear an eye patch for a day or so and use eye drops to reduce swelling and prevent the eyes from infections.
A person should be aware of the fact that Diabetic Retinopathy Surgery is not a cure, but it may slow down or stop the progression of symptoms. Diabetes is a chronic condition, and subsequent retinal damage and vision loss may occur in spite of treatment.

Prevention from Diabetic Retinopathy

The ways to prevent yourself from this harmful disease are not many, but the successful management of blood sugar levels may be very helpful.
Moreover, the early detection of symptoms makes the treatment more effective and optimal.
The blood sugar levels can be maintained in many ways such as eating a healthy and balanced diet, exercising regularly, keeping a moderate body weight, and scheduling regular health check-ups.
These conditions might worsen the normal functioning of the eye and may result in severe consequences. But, don’t worry if you have such conditions. At ASG Eye Hospitals, we take pride in providing the best solutions for eye care to people irrespective of their awareness, knowledge, and financial levels. The most optimal Diabetic Retinopathy Treatment at ASG encompasses state-of-the-art equipment and highly experienced doctors.

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Glaucoma eye surgery is a procedure to reduce eye pressure and stabilize the vision to prevent loss of vision. An eye disease that damages the optic nerve is termed Glaucoma. The optic nerve is responsible for supplying visual information to the brain. The damage in the optic nerve is caused by the high pressure in the eye. Medications may be used in the earlier stages but Glaucoma surgery treatment is usually performed to restore vision.
 It may result in irreversible loss of the visual field and it is found that Glaucoma is the leading cause of blindness in people over the age of 60. Other causes lead to optic nerve damage such as raised intraocular pressure (IOP) although it may occur with normal IOP (Normal-Tension Glaucoma) and even with low IOP (Low-Tension Glaucoma). The imbalance between the production and drainage of aqueous fluid in the eye’s anterior chamber raises Intraocular pressure (IOP).

Symptoms of Glaucoma: What can lead to Glaucoma surgery treatment

There are many symptoms of Glaucoma depending on the type. The most commonly diagnosed type is open-angle glaucoma. It barely has any signs or symptoms except gradual vision loss. For this reason, it is highly advised to visit your eye specialist or ophthalmologist regularly to prevent severe consequences.
On the other hand, there is acute-angle closure glaucoma, also called narrow-angle glaucoma, which is a medical emergency. See an eye specialist immediately if you experience the following symptoms:
  • Severe pain in the forehead or the eye
  • Nausea and vomiting
  • Sudden vision disturbances in the eye
  • Redness of the eyes
  • Blind spots in the field of vision
  • Seeing halos or colored rings around lights
  • Blurred vision
  • Peripheral vision loss
In such cases, Glaucoma eye surgery is usually prescribed after diagnosis for treatment.

 

Everything you need to know about eye glaucoma surgical treatment

Glaucoma surgery prevents vision loss. This procedure is performed by creating a new opening for fluid to drain from the eye or, by implanting a shunt to help drain the fluid. Though the surgery can lower eye pressure and help stabilize vision for a very long time, the doctor will still need to monitor your glaucoma during that time. Generally, Glaucoma surgery is a safe and painless procedure, but it all depends on the type of procedure and the doctor’s expectations for eye pressure recovery.

Types of Glaucoma surgery:

Though the types of surgery to treat glaucoma are many, what to expect after the treatment will depend on the type of surgery:
  • Trabeculectomy: This surgery is carried out by creating a small surgical incision to help the fluid drain and decrease intraocular pressure.
  • Shunts or implants: These are surgically inserted into the eye. After done with it, the surgeries allow for the shunt or implant to replace the eye’s damaged draining that reduces the eye pressure.
  • Glaucoma valve treatment: It is one of the latest glaucoma treatment techniques that helps in lowering intraocular pressure (IOP) and maintains a proper aqueous outflow. It is the most preferred management option in cases struggling with glaucoma even after maximal medications and in complicated cases of glaucoma.
  • Glaucoma Laser Surgery: In this procedure, the eye specialist puts a drop in your eyes to make it numb, aims a laser using a special lens into the eye and the laser helps drain fluid out of the eye. It is painless and hardly causes any discomfort. Most people can resume their normal daily activities the day after their laser treatment.

 

What should you expect after the surgery?

There may be some blurriness in the operating eye during the immediate recovery period. But as the days follow your vision will improve. Other side-effects may include:
  • Irritation
  • Redness
  • Tearing
  • Swelling
  • The feeling of a small object in the eye
There is no significant pain after Glaucoma surgery treatment but you’ll need to wear an eye shield, a bandage, or padding, to protect it from bumping or rubbing. Though, you need to consult your doctor if you experience major discomforts.

Glaucoma eye surgery recovery

It takes about a month to fully recover from the surgery but most shorter recovery times last to 3 weeks and longer recovery times extend to 6 weeks.
You will be following multiple appointments with your eye doctor to monitor the healing and to remove any cuts or stitches that were put at the time of surgery. You may need to use eye drops to prevent or reduce inflammation. The doctor will also review your glaucoma medications to make any changes in your prescription when you can resume taking them or how much should you take. Usually, the recovery process is safe with minor discomforts but if you experience the following symptoms you should get in touch with your doctor immediately as they could lead to infection:
  • Redness in the eye
  • Swelling
  • Additional pain in the eye
  • Pus or discharge from the eye
  • A shadow in the visual field
  • Decreasing vision
It is recommended not to drive a vehicle, rest, and follow what your doctor says. Don’t get too stressed as this surgery is entirely safe and is been around for decades.

Precautions after Glaucoma surgery treatment

 

To prevent your eyes from damage, avoid the following activities for the first few weeks of surgery:
  • Exercise, running, excessive exertion, or lifting heavyweights
  • Bending or straining
  • Rubbing or pressing your eyes
For safety against infections:
  • Swimming or using hot tubs
  • Wearing contaminated contact lenses
  • Applying face cream or makeup
Your eye specialist will ask to take some other precautions based on the type of surgery.

Risks of Glaucoma Surgery

The risks are few and can be prevented, though it is crucial to know about them:
  • Vision loss: You might experience disruptions in your vision after the surgery but they are temporary. Intensive permanent loss is not a common side effect.
  • Bleeding: As with any other operation, complications may occur. However, bleeding inside the eye is a serious complication, and you need to consult your doctor immediately in such circumstances.
  • Infection: There are numerous reasons for infections and they can even occur after weeks of surgery. The ophthalmologist prescribes you antibiotics to prevent these.
  • Low eye pressure: Sometimes surgeries can lead to low pressure in the eye, also called hypotony. It is most common after surgery. As a result of hypotony, you may experience side or peripheral vision.
  • Scarring: Rarely Eye Glaucoma surgeries may fail over time due to natural healing and scarring tendencies of the eye. Sometimes the scarring is so intense that the operation may fail to accomplish lowered pressure. You might need to restart your glaucoma medications in this case.
  • Cataract: Cataract formation can be accelerated by Glaucoma surgery. But it is not a cause of worry as cataracts are fairly easy to fix. Sometimes eye glaucoma surgeries are combined with cataract surgeries

Types of Glaucoma

 

Getting aware of the types of glaucoma before its prevention is essential:
  • Open-Angle (Chronic) Glaucoma: It is the most common type of glaucoma. There are signs and symptoms other than gradual vision loss. The loss may be so slow that the damage caused may be irreparable before any symptoms become apparent.
  • Angle-Closure (Acute) Glaucoma: In this case, the aqueous humor fluid is suddenly blocked and the rapid build-up of fluid may cause a quick, severe and painful increase in pressure. It is an emergency and you should consult your doctor immediately if you are experiencing symptoms such as nausea, pain, and blurred vision.
  • Congenital Glaucoma: This type of glaucoma usually runs in families. It slows down or prevents normal fluid drainage in children and causes angle defects in their eyes. The symptoms could be cloudy eyes, excessive tearing, or sensitivity to light.
  • Secondary glaucoma: It occurs mostly as a side-effect of an injury or another eye condition, such as eye tumours or cataracts.
  • Normal-Tension Glaucoma: In rare cases, people who do not have increased eye pressure develop damage to the optic nerve. Though the cause isn’t known, extreme sensitivity or a lack of blood flow to the optic nerve may be ascribed to normal-tension glaucoma.

Who is at risk of developing glaucoma?

  • Age: People above the age of 60 are at a higher risk to develop glaucoma and the risk increases with each passing year.
  • Eye problems: Thin corneas and chronic eye inflammation can lead to raised pressure in the eyes. Physical injury or trauma can also cause increased pressure in your eye.
  • Ethnicity: People of Asian descent have a higher tendency to develop glaucoma.
  • Families: Some types of glaucoma like open-angle glaucoma runs in families. If your grandparent, had it, you may be at a higher risk of developing this condition.
  • Medical history: People with heart disease, diabetes, or high blood pressure are at a higher risk of developing glaucoma.

Prevention against glaucoma

As of now, there are not any known ways to prevent glaucoma, but diagnosis in the early stages may prevent the eyes from severe or irreparable damage. Annual preventive care appointments with the ophthalmologist help to take necessary actions such as glaucoma eye surgery
These conditions might worsen the normal functioning of the eye and may result in severe consequences. But, don’t worry if you have such conditions. At ASG Eye Hospitals, we take pride in providing the best solutions for eye care to people irrespective of their awareness, knowledge and financial levels. The most optimal glaucoma eye surgery at ASG encompasses state-of-the-art equipment and highly experienced doctors.

Dr.Shilpi GangDr. Shilpi Gang
MBBS (Gold Medalist), MD (AIIMS, NEW DELHI), Fellow of Royal College of Physicians and Surgeons, Glasgow, U.K.
PHACO, CORNEA, FEMTO, GLAUCOMA & REFRACTIVE (Q-LASIK, ICL & BIOPTICS)

Dr. Shilpi Gang is the co-founder and CEO of ASG EYE HOSPITALS. ASG Eye Hospital has a network of 44 eye Hospitals across 33 cities of India.


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26/Mar/2022

Eye Cornea Surgery: Causes, Treatments, and Risks

The cornea acts as a lens to refract, or bend light and guides most of the light entering the eye. It is a thin transparent membrane; a clear layer of tissue that smoothly covers the eyeball. Doctors generally recommend eye cornea surgery when the vision is disrupted due to damage or thinning of the cornea to retrieve and restore vision, improve its appearance, and relieve pain. Eye specialists categorize cornea difficulties as sensitivity to light, blurry vision, distressful pain, and redness. Though we somehow neglect minimalistic eye-related problems and regard them as slightly insignificant, these could lead to terrible repercussions.

Cornea

Cornea transplantation: Eye cornea treatment

As intimidating as it may sound, cornea transplantation or keratoplasty is merely an intricate term simply referring to eye cornea surgery. Cornea specialists carry out this efficacious procedure with diligence and absolute care. It replaces the affected portion of the cornea with a healthy donor and eventually restores vision, enhancing the appearance and reducing discomfort. If the vision is impaired to a substantial extent, your doctor shall treat the damaged part of the cornea or its underlying cause, with the optimal manner of surgery. Several conditions can lead to such procedures:
  • Keratoconus
  • Vision impairment disorder: Corneal Dystrophy
  • Inability to precisely focus light: Corneal Scarring
  • Swelling of Cornea: Corneal Edema
  • Critical injury or severe wound to the eye

 

Keratoconus: Cornea damage

Keratoconus is one such disease resulting in astigmatism or near-sightedness. Keratoconus alters the normal shape of the cornea and renders it protruding, like a cone. Astigmatism; gradually makes the cornea perceptively curvy, changing its form to a conical shape, differing from the normal ball-alike structure. Near-sightedness as the term indicates is the trouble of discerning things that are farther from a distance, you can only see objects or other figures which are nearer to you. A person experiencing these symptoms must consult an eye specialist immediately:

Cornea Damage, ASG Eye Hospital

  • Streaky lights
  • All things appearing blurry
  • Luminous lights surrounded with halos
  • Double vision
  • Seeing a ghost image with one eye, termed as monocular diplopia
When the damage is extensive the patient may need cornea transplantation.

Corneal Dystrophy: Painful irritation in the cornea

Affecting the front part of the eye, Corneal dystrophy is a genetic disease that usually runs in families. It may make the vision cloudy and blurry. A person diagnosed with symptoms such as painful eyes, glare, sensitivity to light, loss of corneal epithelium causing corneal abrasion or erosion may be suffering from corneal dystrophy. Watery or dry eyes, the sensation of something in the eye, or irritation and frequent feeling of eyelid sticking to the eye may also lead to corneal dystrophy. As a genetic disorder, doctors commonly suggest cornea treatment as a way to go about corneal dystrophy. If the condition is bad enough, the person might have to undergo eye cornea surgery, though the treatment depends on the type of corneal dystrophy.

 

Corneal Scarring: Emergence of scars in cornea

Being a resilient tissue, the cornea can typically heal from minor abrasions. Nonetheless, serious corneal damage may result in corneal scarring. Corneal scars can occur through burns, improper use of contact lenses, lacerations, or deep scratches. Symptoms may include:
  • Swelling of eyelids
  • Redness
  • Burning sensation
  • Sensitivity to light
  • Scratchy sensation of something in the eye
  • Pain in eyes
  • Blurry vision
 
In case these symptoms persist, you need to consult an ophthalmologist for the desired eye cornea treatment. The doctor may ask you, initially, of the recent eye injuries and medical history other than the symptoms. Thereafter, the ophthalmologist shall conduct an eye exam in which he will look for abrasions or irritating debris. The optimal treatment will be suggested to you then. Commonly, there are three ways to medicate corneal scarring:
  • Laser therapy
  • Corneal transplantation
  • Artificial cornea; a damaged portion is replaced with a combination of synthetic material    and the donor tissue

 

Corneal Edema

The swelling of the cornea due to the build-up of excess fluid is termed Corneal Edema. Speaking scientifically, the membrane called endothelium pumps out fluid from the cornea, when it becomes inactive, liquid accumulates and the cornea swells. It mostly occurs in women, as compared to men, after the age of 50. A condition called Fuch’s endothelial dystrophy causes this disorder. Things that could trigger this condition are:
  • Improper use of contact lenses
  • Eye surgery
  • Medications
  • Some medical conditions like herpes.

Cornea edema, ASG Eye Hospital

Eye cornea specialist will guide you to a course of eye cornea treatment if the symptoms may occur as:
  • Pain in the eye when encountering discomfort due to light
  • A scratchy feeling in the eye
  • Ache or tenderness while touching the eyes
  • Seeing halos around the lights
  • In severe cases, aching blisters might emerge
 
The ophthalmologist will look for scars or cloudiness around your eyes or may examine the eye with an ophthalmoscope for diagnosis. Moreover, the treatment might vary on the extent to which this disorder has caused the damage.
A severe injury or wound to the eye may also lead to cornea transplantation. Though, it is more likely to be treated by the degree of damage.

Types of corneal transplantation

The advances in corneal transplantation allow surgeons to replace a part or all of the cornea, depending upon the location of the damage. Today, eye specialists consider a less invasive approach, with lower risks and quicker recovery, therefore, a partial cornea transplant can have advantages. The transplant is performed under local anaesthetic (where the area to be treated is numbed and you’re awake) or general anaesthetic (where you’re sedated and rendered unconscious). The surgery is not a prolonged one, either you may leave the eye cornea hospital the same day or stay overnight.
Largely there are four types of Transplantation:
  • Penetrating keratoplasty is a procedure that involves replacing the entire cornea with a healthy donor cornea. This is the preferred technique when all layers of the cornea are opaque.
  •  Endothelial keratoplasty is to replace the inner layer of the cornea with a healthy inner layer of a donor cornea. This is used to treat patients with endothelial dystrophy such as Fuch’s Dystrophy.
  •  A procedure termed Keratoprosthesis involves replacing the entire cornea when a cornea is so severely damaged that it cannot be repaired with a natural donor cornea or when a previous donor cornea transplant is unsuccessful.
  •  Anterior lamellar keratoplasty is a technique to replace the outer layer of the cornea with a healthy outer layer of a donor cornea. This is used mostly in patients with keratoconus and scarring of the uppermost layers of the cornea.

 

Risks of eye cornea surgery

As with all kinds of surgery, there are few subsequent complications of cornea transplantation. Although, most cornea surgeries are successful and hardly lead to any threats. That being said, considering the complications may be useful to the eye specialists as well to the patient:
  • Cataract
  •  Bleeding in the eye
  • Detachment of the transplanted cornea
  • Inflammation in the eye
  •  Glaucoma
  •  Retinal detachment
  •  Incorrect vision requiring glasses or contact lenses
  •  Infection inside or on the surface of the eye

 

Cornea transplant rejection

Another possible complication is the rejection of the donated cornea. If your immune system recognizes that the tissue is foreign and creates an immune response that rejects the new cornea then this complication can occur between several months to several years following the surgery. Cornea transplant rejection is usually reversible, and if addressed within time, may not harm the functioning of the transplanted cornea.
The overall risk for complications differs based on numerous factors that may take in your age, medical history, other eye problems, and the basic reason for your cornea transplantation. Consult your eye specialists about your risks for cornea transplantation to avoid transplant rejection.

What to expect after the eye cornea surgery?

Even though this surgery is not a drawn-out procedure, you may need to follow the post-surgery instructions as prescribed by your doctor. In the case of experiencing symptoms such as sensitivity to light, redness or pain in the eyes, and depletion in vision, you may need to consult your ophthalmologist.
 
The major cause for corneal transplantation: Keratoconus
Keratoconus is an eye syndrome that is progressive and can’t be reversed. When diagnosed early in the early stages, C3R therapy helps in stabilising it, and in advanced stages, corneal transplantation techniques are helpful.
The treatment options vary on the advances of this syndrome:
  •  Contact lenses (RGP – Rigid Glass Permeable)
  •  Corneal Collagen Crosslinking (C3R/ CXL)
  •  Corneal Implants
  •  Corneal Transplants
More about Corneal Collagen Crosslinking (C3R/ CXL)
This minimally invasive process enhances the corneal strength by inducing crosslinking of collagen fibres. C3R helps in stabilising keratoconus in the early stage and prevents further progression of the disease and the need for corneal transplantation. 
Corneal Transplant is a widely misunderstood procedure due to the possible risks and outcomes. Cornea specialists describe it as relatively safe and the complications are minimal and treatable.

 

Dr.Shilpi GangDr. Shilpi Gang
MBBS (Gold Medalist), MD (AIIMS, NEW DELHI), Fellow of Royal College of Physicians and Surgeons, Glasgow, U.K.
PHACO, CORNEA, FEMTO, GLAUCOMA & REFRACTIVE (Q-LASIK, ICL & BIOPTICS)

 

Dr. Shilpi Gang is the co-founder and CEO of ASG EYE HOSPITALS. ASG Eye Hospital has a network of 44 eye Hospitals across 33 cities of India.


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MEET THE EXPERTS